Two different alkyl radicals can be expelled when unsymmetrical aliphatic amine radical cations undergo C-C bond cleavage. The branching ratio is strongly dependent on the internal energy of the reactant, even when the competition involves loss of closely related alkyl radicals. In mass spectrometers, the rate of loss of the smaller radical (excepting methyl) always exceeds the rate of loss of the larger close to threshold. The preference is reversed for the more highly energized ions that react in the ion source, demonstrating that the rate of loss of the larger radical rises much more rapidly with increasing internal energy than does the rate of loss of the smaller radical. This result is not easily reconciled with a simple RRKM model, given the expected strong resemblance between the transition states involved, whereas it agrees well with a description based on variational transition state theory. The heats of formation of the products determined with the G3 composite ab initio method show that loss of the smaller radical is without exception the more favorable reaction. The relative rates of the competing C-C bond cleavage reactions of the metastable ions vary with the number of degrees of freedom of the reactant, with the critical energy of the reaction, and with the difference between the heats of formation of the products. The presence of intermediate energy barriers when cleavage occurs at a branching point can give rise to variations in relative rates that are not easily interpreted.
The structure of Cd(OH)(2) was determined by X-ray diffraction on powder crystals and by calculations using the full-potential linearized augmented plane wave method. Good agreement between the two results was found. The chemical bonding is characterized by the interactions of the OH(-) group with Cd(2+) which is not only electrostatic but shows some polarization or covalent admixtures and by the covalent bond in the OH(-) group. The electric field gradient (EFG) was calculated and compared with an experimental determination of the nuclear quadrupole interaction using perturbed angular correlation of gamma-rays. The calculated EFG agrees well with the EFG derived from experiment. The total electric field gradient was decomposed into contributions from different orbitals and energy regions showing that both the Cd 5p and 4d wave functions contribute significantly. Finally, the influence of spin-orbit coupling on the electric field gradient was investigated and found to be of little importance.
Background: Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used in the treatment of Achilles tendinopathy, but whether they have any additive clinical effect on physical rehabilitation in the early phase of tendinopathy remains unknown. Purpose/Hypothesis: To investigate whether an initial short-term NSAID treatment added to a physical rehabilitation program in the early phase of Achilles tendinopathy would have an additive effect. We hypothesized that the combination of NSAID and rehabilitation would be superior to rehabilitation alone. Study Design: Randomized controlled trial; Level of evidence, 1. Methods: A total of 69 patients with early phase Achilles tendinopathy (lasting <3 months) were randomly assigned to either a naproxen group (7 days of treatment; 500 mg twice daily; n = 34) or a placebo group (7 days of placebo treatment; n = 35). Both groups received an identical 12-week physical rehabilitation program. The clinical outcome of the study was evaluated using the Victorian Institute of Sports Assessment–Achilles (VISA-A) questionnaire and a numerical rating scale (NRS), and the physiological outcome was evaluated using ultrasonography, magnetic resonance imaging (MRI), and ultra-short time to echo T2* mapping MRI (UTE T2* MRI). Follow-up was performed at 1 week, 3 months, and 1 year. Time effects are presented as mean difference ± SEM. Results: No significant differences were found between the 2 treatment groups for any of the outcome measures at any time point ( P > .05). For the VISA-A score, a significant time effect was observed between baseline and 3-month follow-up (14.9 ± 2.3; P < .0001), and at 1-year follow-up, additional improvements were observed (6.1 ± 2.3; P < .01). Furthermore, the change in VISA-A score between baseline and 3-month follow-up was greater in patients with very short symptom duration (<1 month) at baseline compared with patients who had longer symptom duration (>2 months) (interaction between groups, 11.7 ± 4.2; P < .01). Despite clinical improvements, total weekly physical activity remained lower compared with preinjury levels at 3 months (–2.7 ± 0.5 h/wk; P < .0001) and 1 year (–3.0 ± 0.5 h/wk; P < .0001). At baseline, ultrasonography showed increased thickness (0.12 ± 0.03 cm; P < .0001) and vascularity (0.3 ± 0.1 cm2; P < .005) on the tendinopathic side compared with the contralateral side, but no changes over time were observed for ultrasonography, MRI, or UTE T2* MRI results. Conclusion: Clinical symptoms in early tendinopathy improved with physical rehabilitation, but this improvement was not augmented with the addition of NSAID treatment. Furthermore, this clinical recovery occurred in the absence of any measurable structural alterations. Finally, clinical improvements after a physical rehabilitation program were greater in patients with very short symptom duration compared with patients who had longer symptom duration. Registration: NCT03401177 (ClinicalTrials.gov identifier) and BFH-2016-019 (Danish Data Protection Agency)
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